Related Experiment Video
Updated: Feb 19, 2026
08:01
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
9.5K
Functional Anatomic Computer Engineered Surgery Protocol for the Management of Self-Inflicted Gunshot Wounds to the
Baber Khatib1, Karl Cuddy2, Allen Cheng3
1Fellow, Advanced Craniomaxillofacial and Trauma Surgery/Head and Neck Oncologic and Microvascular Reconstructive Surgery, Department of Surgery, Legacy Emanuel Hospital, Portland, OR; Head and Neck Surgical Associates, Portland, OR.
Summary
This study introduces a protocol for reconstructing facial gunshot wounds using virtual surgical planning. Computer-aided surgery significantly improved patient outcomes in facial projection, jaw position, and functional recovery.
Area of Science:
- Oral and Maxillofacial Surgery
- Computer-Aided Surgery
- Reconstructive Surgery
Background:
- Virtual surgical planning (VSP) is crucial for craniomaxillofacial reconstruction.
- Established protocols for facial gunshot wound reconstruction are lacking.
- Computer-aided techniques offer precision in complex reconstructive cases.
Purpose of the Study:
- To review experience with computer-aided reconstruction of self-inflicted facial gunshot wounds (SIGSWs).
- To propose a staged protocol for the repair of SIGSWs using VSP.
Main Methods:
- Retrospective case series of patients with SIGSWs managed with the Functional Anatomic Computer Engineered Surgical (FACES) protocol.
- The FACES protocol involves staged reconstruction using VSP, navigation, and intraoperative CT.
- Outcomes assessed included jaw position, facial projection, and functional dependence.
Main Results:
- Ten patients with SIGSWs underwent reconstruction.
- Satisfactory facial projection (100%) and jaw position (90%) were achieved.
- Functional improvements included decannulation by one month (100%) and feeding tube independence (90%).
Conclusions:
- Computer-aided surgery is essential for reconstructing SIGSWs.
- The proposed protocol effectively restores facial volume, projection, and symmetry.
- VSP facilitates composite tissue inset and prosthetic rehabilitation.
